Individual
MIA BETH DEROIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4412 N OAK PARK AVE, HARWOOD HEIGHTS, IL 60706-4836
(630) 673-9499
Mailing address
320 W OAKDALE AVE, CHICAGO, IL 60657-6419
(773) 871-5926
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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